HomeMy Public PortalAbout10011-10011-10011 1/2-10011 3/4 LOWER AZUSA RD_Plumbing__ 013#47 10 BB APPLICATION 'FOR PLUMBING PERMIT 1
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DMSION OF BUUMMG AND SAFETY
Depcwtment of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE.COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN.SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FZI.L IN NEAREST
CROSS ST
OWNER it i DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL +( �` A Id-.3
ADDRESS �� •�
CI TEL NO -�Z/2, IWDUSTRII
ASTE APPROVAL
PLUMBER &AA
(� 7_C.2 INSPECTION RECORD
ADDRESS1p 111 °°
CITY 4+LW� ;":1/ �29 NO 4f—/ '
LICENSE NO I�syy
NUMBER TYPE OF FIXTURE OR ITEM FEE t
It WATER CLOSET (TOILET) @ $1 00 $If On
g BATH TUB 0 $1 00 Y del 1
,y SHOWER @ $1 Oo L
i
LAVATORY'(WASH BASIN) $1 00 bO GA2D//1'G
�r
Q KITCHEN SINK .@.$I 00 200,
DISHWASHER @ $100
LAUNDRY TUB OR TRAY -@ i$1 00* ",014RAZA1 T / . E/-I/✓G,
CLOTHESWASHER @ $1 00 911 1A-r Alf--r rH61a /7-
WATER
TWATER HEATER C $1 00 Oa s/1/BTSF-FIV /N/�
Q GAS SYSTEM @ $1 00 S O+�
!S7TH /1✓GOA/
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT_ $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 4flev GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER .�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PR ERTY
SIGNATURE kod p,
OF PERMITTEE 9 FINAL
JOHN A LAMBIE.COUNTY ENGINEER ATION ROBERT A WOOD.CHIEF PLBG INSPECTOR
CK N • GSH
E,�5 4 6 3r, DEC 31 3 4 9.00